A nurse is assisting in the care of a client.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Pulmonary embolism: A pulmonary embolism (PE) can result from a dislodged deep vein thrombosis (DVT), especially in the lower extremities.
Possible deep vein thrombosis: The client's left calf is red, swollen, and larger than the right, which are classic signs of DVT, a risk factor for PE.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Swing-to gait: This gait is used when both legs are non-weight bearing and the client swings both legs forward to the crutches.
B. Swing-through gait: Similar to swing-to, but the legs swing past the crutches-used for clients with paralysis or weakness in both legs.
C. Two-point gait: This is for clients who can bear partial weight on both legs, using the opposite leg and crutch together.
D. Three-point gait: Used when one leg is non-weight bearing. The client moves both crutches forward with the affected leg off the ground, then advances the unaffected leg.
Correct Answer is C
Explanation
A. Inserts one finger between the client's wrist and the restraint: Best practice is to allow two fingers of space to ensure adequate circulation and comfort.
B. Ties the restraints to the side rails: Restraints must never be tied to movable parts (like side rails); they should be secured to the bed frame.
C. Places the padding of the restraints against the client's bony prominences: Padding helps prevent skin breakdown and pressure injuries over bony areas.
D. Ties the straps of the restraints in a double knot: Double knots are hard to remove in emergencies; a quick-release knot is recommended.
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